Mitchell Wallace
NPI #1346859253 in Independence, Ohio
Provider Information
- NPI Number
- 1346859253
- Entity Type
- Individual
- Name
- Mitchell Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 27, 2020
- Last Updated
- Jul 27, 2020
Practice Location
- Address
- 4700 ROCKSIDE RD STE 100
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2148
- Phone
- (614) 339-1649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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